Medical
Medical Insurance is administered by BlueCross BlueShield( BCBS). The City offers two plans- a High Deductible Health Plan( HDHP) and a Copay Plan. Both Plans are Exclusive Provider Organizations( EPO), which means outof-network benefits are not covered under either plan. Both plans provide you with a large network of medical providers throughout the nation. Spouses offered medical coverage through their own employer are not eligible for the City ' s Medical Plans. Pharmacy benefits are also administered by BCBS through Prime Therapeutics. BCBS provides a large network of pharmacies throughout the nation. 90-Day medications can be purchased at a reduced cost through their mail-order program Express Scripts. Please see below for the Medical Plan Summary:
Key Medical Benefits
Office Visits
HDHP( EPO)
Copay Plan( EPO)
Preventive $ 0 $ 0 Primary 10 % after deductible $ 30 Specialty 10 % after deductible $ 50 Virtual Health $ 0 after deductible $ 30 Other visits Lab Services $ 0 after deductible $ 0 Urgent Care $ 75 after deductible $ 75 Emergency Room 10 % after deductible 20 % after deductible Outpatient 10 % after deductible 20 % after deductible Inpatient 10 % after deductible 20 % after deductible Medical Coinsurance % You Pay After Deductible 10 % 20 % Medical Deductible Single $ 3,300 $ 1,750 Family $ 5,000 $ 3,500 Medical + Prescription Maximum Out-of-Pocket( MOOP) Single $ 6,000 $ 6,000 Family $ 12,000 $ 12,000 Prescriptions Preventive $ 0 $ 0 Tier 1- Generic 10 % after deductible 20 %, up to $ 25 Tier 2- Brand 10 % after deductible 20 %, up to $ 75 Tier 3- Non-Preferred Brand 10 % after deductible 20 %, up to $ 200 Tier 4- Specialty 10 % after deductible 20 %, up to $ 300